Provider Demographics
NPI:1285966952
Name:DEES, CASIE LYNN (PTA)
Entity type:Individual
Prefix:
First Name:CASIE
Middle Name:LYNN
Last Name:DEES
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 CEDAR DR
Mailing Address - Street 2:
Mailing Address - City:HEBER SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72543-3541
Mailing Address - Country:US
Mailing Address - Phone:918-839-7744
Mailing Address - Fax:
Practice Address - Street 1:2000 HIGHWAY 25B APT A1
Practice Address - Street 2:
Practice Address - City:HEBER SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72543-6418
Practice Address - Country:US
Practice Address - Phone:501-362-7195
Practice Address - Fax:501-362-7855
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-05
Last Update Date:2010-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2389225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant